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Primary Immune ThrombocytopeniaPhase 2NCT06658834

A Study of Romiplostim N01 as the First-line Treatment for Newly Diagnosed Adult Patients With ITP

A Phase 2 study testing Dexamethasone Combined with romiplostim N01 and Dexamethasone monotherapy in people with Primary Immune Thrombocytopenia, run by Institute of Hematology & Blood Diseases Hospital, China at 1 site in China.

Unknown status

Status not confirmed. The sponsor has not verified this record for over two years, so it may be out of date.

Official record
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Trial summary

This study is a multicenter interventional research on the first-line treatment of newly diagnosed adult patients with immune thrombocytopenia (ITP) using romiplostim N01 in combination with glucocorticoids. Read more about this study

Who is it for?
Ages 18 to 75 years
Conditions the study is for
Primary Immune Thrombocytopenia
What is being tested?
Dexamethasone Combined with romiplostim N01 and Dexamethasone monotherapy
Could I receive a placebo?
No, everyone receives an active treatment
How many people
129 participants
Where
1 siteChina
Study dates
1 Jun 2024to 30 Aug 2026
Phase
Phase 2
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 75 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Sign the written informed consent form before enrollment;
  • Age ranging from 18 to 75 years old;
  • Be clinically diagnosed with primary immune thrombocytopenia for less than 3 months before randomization;
  • Have not received splenectomy or at least one first-line ITP treatment or emergency treatment in the past;
  • Have not received romiplostim treatment;
  • ECOG PS score: 0 - 2;
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  • Platelet value < 30×10^9/L;
  • The expected survival period at the screening is ≥ 12 weeks;
  • For subjects of reproductive age, agree to take reliable contraceptive measures throughout the study period (including male or female condoms, contraceptive foams, contraceptive gels, contraceptive membranes, contraceptive ointments, contraceptive suppositories, abstinence, and intrauterine device placement, etc.); Female subjects who have undergone hysterectomy, bilateral salpingectomy, bilateral tubal ligation or menopause for more than 1 year, and male subjects who have undergone bilateral vasectomy or ligation are excluded;
  • Voluntarily join this study, sign the informed consent form, and have good compliance.

Who cannot join

  • Suffering from other hematopoietic system diseases except ITP, including but not limited to leukemia, thrombocytopenia caused by tumor treatment, myeloproliferative diseases, multiple myeloma and myelodysplastic syndrome, etc.;
  • Having undergone splenectomy before the first administration;
  • Having received ITP drug treatment (including emergency treatment) before the first administration;
  • Having used drugs with c-Mpl (thrombopoietin receptor) stimulating effects within 4 weeks before the first administration;
  • Having received hematopoietic growth factor preparations (such as granulocyte colony-stimulating factor, macrophage colony-stimulating factor, erythropoietin, interleukin-11, etc.) within 4 weeks before the first administration;
  • Having received antibody drugs (such as rituximab, etc.) within 14 weeks before the first administration;
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  • Having received any Chinese herbal medicine or nutritional supplement (except vitamin supplements and mineral supplements) for the purpose of increasing platelets within 1 week before the first administration;
  • Having been diagnosed with arterial thrombosis (such as cerebral thrombosis, transient ischemic attack or myocardial infarction), or having a history or complication of venous thrombosis (such as deep vein thrombosis, pulmonary embolism), or using anticoagulants or antiplatelet drugs at the beginning of screening;
  • Having a history of severe cardiovascular diseases (such as grade III/IV congestive heart failure, arrhythmia or angina pectoris that increases the risk of thromboembolic events, unstable angina pectoris, having undergone coronary artery stent implantation, angioplasty or coronary artery bypass grafting);
  • Secondary thrombocytopenia caused by autoimmune diseases such as antiphospholipid antibody syndrome, systemic lupus erythematosus, Hashimoto's thyroiditis, Even's syndrome and Sjogren's syndrome;
  • Positive results for either human immunodeficiency virus antibody or syphilis antibody screening; positive hepatitis C antibody and HCV-RNA exceeding the upper limit of the study center's laboratory test; positive hepatitis B surface antigen and HBV-DNA exceeding the upper limit of the study center's laboratory test;
  • Having participated in other clinical studies within 3 months before the first administration;
  • Being pregnant or lactating, or having a pregnancy plan;
  • Having fertility and being judged by the researcher as not fully adopting contraceptive measures;
  • Having a history of severe drug allergic reactions or being known to be allergic to glucocorticoids or Nplate® (romiplostim) or the components of QL0911;
  • Unable to comply for mental reasons;
  • Judged by the researcher as not suitable to participate in this trial;

Trial locations and contacts

1 site in 1 country.

China1 site, 1 recruiting
  • Chinese Academy of Medical Science and Blood Disease Hospital

    Tianjin, Tianjin Municipality, 300000

    Lei Zhang, MD, +8613502118379, zhanglei1@ihcams.ac.cn

    Recruiting

Other trials in China

About this study

Official title: A Multicenter Interventional Study of Romiplostim N01 Combined With Glucocorticoids as the First-line Treatment for Newly Diagnosed Adult Patients With ITP

This study is a multicenter interventional research on the first-line treatment of newly diagnosed adult patients with immune thrombocytopenia (ITP) using romiplostim N01 in combination with glucocorticoids. The primary endpoint of this study is to assess the efficacy of romiplostim N01 combined with glucocorticoids in untreated newly diagnosed adult ITP patients after 6 months of administration.

The subjects will be divided into the experimental group and the control group for treatment.

Read more

Experimental group: Dexamethasone (HD-DXM) 40mg/d × 4 days, one cycle. If there is no response on the 10th day, repeat once, administered either orally or intravenously. Simultaneously, romiplostim N01 is administered at an initial dose of 3µg/kg, by subcutaneous injection, once a week, for a maximum of 6 months.

Control group: Dexamethasone (HD-DXM) 40mg/d × 4 days, one cycle. If there is no response on the 10th day, repeat once, administered either orally or intravenously.

Read the detailed description

This study is a multicenter interventional research, and it is planned to incorporate 129 newly diagnosed adult ITP patients who have not undergone treatment.

For patients meeting the inclusion criteria, after signing the informed consent and passing the screening, they will be randomly grouped.

The study encompasses a screening period (from the signing of the informed consent form by the subject to before the first administration of the drug), a treatment period (including dexamethasone monotherapy and combined treatment of dexamethasone and romiplostim N01), and a follow-up period.

Screening period: Assess the inclusion and exclusion criteria. Those who fulfill the conditions can enter the treatment period.

Treatment period: Baseline visits are conducted for the screened eligible subjects, and they are randomly assigned to the experimental group and the control group at a ratio of 2:1.

Administration protocol:

Experimental group: Dexamethasone (HD-DXM) 40mg/d × 4d, one cycle. If there is no response on the 10th day, repeat once, administered orally or intravenously. Simultaneously, romiplostim N01 is administered, with an initial dose of 3µg/kg, by subcutaneous injection once a week, for up to 6 months.

Control group: Dexamethasone (HD-DXM) 40mg/d × 4d, one cycle. If there is no response on the 10th day, repeat once, administered orally or intravenously.

*Dosage of romiplostim N01: The initial dose is 3µg/kg and can be initiated within 4 days of dexamethasone treatment.

When the platelet count is < 50 × 10^9/L, the patient will receive an increment in the dose of romiplostim N01 by 2µg/kg weekly, with a maximum dose of 10µg/kg. When 200 × 10^9/L > platelet count ≥ 50 × 10^9/L, the administration dosage remains unchanged. When 400 × 10^9/L > platelet count ≥ 200 × 10^9/L for two consecutive weeks, the dose is reduced by 1µg/kg. When the platelet count is ≥ 400 × 10^9/L, discontinue the drug. When the platelet count < 200 × 10^9/L, resume administration, and the administration dose is 1µg/kg less than before drug cessation.

Follow-up period: Enter the follow-up period after the conclusion of treatment. Follow-up: Collect all adverse events (AEs) considered related to the study drug, follow up until the 14th week after the end of treatment, through clinical follow-up or telephone follow-up, and collect information on AEs, concomitant medications and concomitant treatments of the subjects. The researcher can increase the number of visits as necessary for AE follow-up to monitor the alleviation of AEs.

Being tested
Dexamethasone Combined with romiplostim N01, Dexamethasone monotherapy
Keywords
ITP, Romiplostim, Continuous Remission
Medical subject headings
Purpura, Thrombocytopenic, Idiopathic

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Dexamethasone Combined with romiplostim N01Drug

    Dexamethasone (HD-DXM) at a dose of 40mg/d for 4 days constitutes one cycle. If there is no response on the 10th day, repeat it once. The administration can be either oral or intravenous. Meanwhile, romiplostim N01 is administered with an initial dose of 3µg/kg by subcutaneous injection once a week for up to 6 months.

  • Dexamethasone monotherapyDrug

    Dexamethasone (HD-DXM) 40mg/d × 4 days, one cycle. If there is no response on the 10th day, repeat once, administered either orally or intravenously.

Study groups in NCT06658834
Study groupRoleWhat they receive
romiplostim combined with glucocorticoidsExperimentalDexamethasone (HD-DXM) at a dose of 40mg/d for 4 days constitutes one cycle. If there is no response on the 10th day, repeat it once. The administration can be either oral or intravenous. Meanwhile, romiplostim N01 is administered with an initial dose of 3µg/kg by subcutaneous injection once a week for up to 6 months.
Receives: Drug: Dexamethasone Combined with romiplostim N01
glucocorticoidsActive comparatorDexamethasone (HD-DXM) 40mg/d × 4 days, one cycle. If there is no response on the 10th day, repeat once, administered either orally or intravenously.
Receives: Drug: Dexamethasone monotherapy

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. The proportion of patients with continuous remission.

    Continuous remission is defined as the maintenance of the therapeutic effect of patients for at least 6 months since achieving remission, without the need for additional ITP-specific treatment.

    Measured: 6 months

Secondary outcomes (8)
  1. The total effective rate GR

    The total effective rate GR = CR + R (Complete response CR, platelet count ≥ 100×10^9/L, and no bleeding symptoms; Effective R, platelet count is between 30×10^9/L and 100×10^9/L, and at least doubles compared to the baseline value, and no bleeding symptoms).

    Measured: 6 months

  2. The proportion of patients with the initial response (reaching the effective standard within one month of the start of treatment)

    The total effective rate GR = CR + R (Complete response CR, platelet count ≥ 100×10^9/L, and no bleeding symptoms; Effective R, platelet count is between 30×10^9/L and 100×10^9/L, and at least doubles compared to the baseline value, and no bleeding symptoms within one month).

    Measured: one month of the start of treatment

  3. The proportion of patients reaching the effective standard 3 months after the start of treatment.

    The total effective rate GR = CR + R (Complete response CR, platelet count ≥ 100×10^9/L, and no bleeding symptoms; Effective R, platelet count is between 30×10^9/L and 100×10^9/L, and at least doubles compared to the baseline value, and no bleeding symptoms within 3 month).

    Measured: 3 months after the start of treatment

  4. The proportion of patients reaching the effective standard 6 months after the start

    The total effective rate GR = CR + R (Complete response CR, platelet count ≥ 100×10^9/L, and no bleeding symptoms; Effective R, platelet count is between 30×10^9/L and 100×10^9/L, and at least doubles compared to the baseline value, and no bleeding symptoms within 6 month).

    Measured: 6 months after the start

  5. The maximum consecutive weeks of platelet response

    The consecutive weeks with platelet count > 30×10^9/L in the absence of any rescue treatment. Adverse events (evaluated using Version 5.0 of the "Common Terminology Criteria for Adverse Events (NCI CTC AE)") etc.

    Measured: 6 months

  6. The proportion of subjects receiving rescue treatment.

    The proportion of subjects receiving rescue treatment.

    Measured: 6 months

  7. According to the WHO bleeding score standard, the incidence and severity of bleeding symptoms.

    According to the WHO bleeding score standard, the incidence and severity of bleeding symptoms.

    Measured: 6 months

  8. Adverse events

    evaluated using Version 5.0 of the "Common Terminology Criteria for Adverse Events (NCI CTC AE)".

    Measured: 6 months

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted26 Oct 2024
  2. Study start1 Jun 2024
  3. Primary completion30 Jun 2025 (estimated)
  4. Study completion30 Aug 2026 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
129 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06658834
Sponsor's protocol ID
IIT2024046
Status last verified
Apr 2024
First submitted
19 Sep 2024
Last updated
26 Oct 2024
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing Dexamethasone Combined with romiplostim N01 and Dexamethasone monotherapy in people with Primary Immune Thrombocytopenia, run by Institute of Hematology & Blood Diseases Hospital, China at 1 site in China.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 10 inclusion and 17 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: status not confirmed, as of the sponsor's last update on 26 Oct 2024. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in China. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Results are not available in the source record.

How can a doctor refer a patient or contact the research team?

Contact Lei Zhang, MD (+8613502118379, zhanglei1@ihcams.ac.cn), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

The proportion of patients with continuous remission. (time frame: 6 months). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 26 Oct 2024.

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